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MS. DIANE MARIE YOUNG LCSW LADC NPI 1194935940


NPI Information

NPI: 1194935940
Provider Name: MS. DIANE MARIE YOUNG, LCSW, LADC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
352 STATE ST
NORTH HAVEN, CT
ZIP 06473
Phone: (203) 781-4600
Get Directions

MS. Diane Marie Young, LCSW, LADC is a clinical social worker in North Haven, CT. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MS. Diane Marie Young, LCSW, LADC NPI is 1194935940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

352 STATE ST
NORTH HAVEN, CT
ZIP 06473-108
Phone: (203) 781-4600
Fax: (203) 781-4624

The NPI 1194935940 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 1/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)000542CONNECTICUTNo
21041C0700XSocial WorkerClinical005227CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004082286MEDICAIDCONNECTICUT
2476270000OTHERCONNECTICUTMAGELLAN
3513954OTHERCONNECTICUTVALUE OPTIONS
4140005227CT01OTHERCONNECTICUTANTHEM BCBS
5303733OTHERCONNECTICUTMHN
6004235083MEDICAIDCONNECTICUT
7022672OTHERCONNECTICUTVMC AFFILIATE
8500000315MEDICAIDCONNECTICUT
9008022626MEDICAIDCONNECTICUT
10300000542CT01OTHERCONNECTICUTANTHEM BCBS
117944589OTHERCONNECTICUTAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.